Monrovia Chamber of Commerce

Meeting the needs of the Business Community for 100 years

Membership Application Form
The annual dues structure for the Monrovia Chamber of Commerce is based on the number of employees. The number of employees
includes owners and management. Membership is a tax deductible business expense under IRS Code 501 (C) (6).
DUES SCHEDULE
EMPLOYEES DUES EMPLOYEES DUES
1-4 $242 101-150 $644
5-15 297 151-200 699
16-25 336 201-300 765
26-40 402 301-400 820
41-60 457 401-600 886
61-80 523 601-800 941
81-100 578 800 Negotiable
Home Based Business $226.00 Nonprofit Civic Org./Associations $187.00
Individual Member (retired) $160.00
Single Company Representative is available only to Companies/Corp. not based in Monrovia $231.00
The following information is used both in our newsletter and in our database to enable the best
referrals possible from the Chamber for your business. Please fill out all of the following information as
completely as possible.

Name of Business Contact person, title Owner/CEO if different

Address

Mailing address if different

Phone Fax E-Mail Post on Website Y/N

Number of Employees Business Category

Description of business and services offered








Would you like to schedule a ribbon cutting or open house? Yes No Ribbon Cuttings are Mon-Thur only

Do you need an invoice? Yes No

Amount Paid $

Date of Application

Signature of applicant*
Payment Method Check # MC Visa
Credit Card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Month Expires Year Stkr Plaque Ltr
Monrovia Chamber of Commerce, 620 S. Myrtle Ave., Monrovia CA 91016
Telephone 626 358-1159 FAX 626 357-6036 Email: chamber@monroviacc.com Website: www.monroviacc.com
Website_________________________________________

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